Database updated: 27 October 2026

Safety Information

Medsafe Online Recall Database

Detail of Recall

Type of Product:Device
Medsafe Reference:29049
Brand Name:ExacTrac Body Patient Positioning System
Model:
Affected:
Software version:1.0.0, 1.0.1, 1.0.2, 1.0.3
Recalling Organisation:Avania Pty Ltd
Level 2
142 Broadway
Newmarket
Auckland 1023
Contact Information:
Manufacturer:Brainlab SE
Issue:The manufacturer has determined that calculation of the yaw angle of the CBCT offset may be wrong under the following combined conditions
· A setup beam is loaded on the Varian LINAC during the calculation of the CBCT offset at the CBCT X-ray Reference Acquisition step of the ETD workflow.
· The internal parameters original planned Patient Support Angle (PSA) and updated planned Patient Support Angle (PSA) have different values at this CBCT X-ray Reference Acquisition step.
As a consequence, for all subsequent patient repositioning(s) performed using ETD, there will be a deviation from the patient's intended position for the yaw value. Additionally, the offset error might be propagated to the ETD surface tracking, and therefore may adversely affect the surface monitoring ( ie indicators, related warnings, and beam hold functionality).
Recall action type:Correction
Recall action:Software to be upgraded
Level of recall:Hospital/Pharmacy/Laboratory
Date Commenced:2/3/2022
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